Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Minidoka Memorial Hospital (NPI 1679553531)

Minidoka Memorial Hospital is a critical access hospital provider located in Rupert, Idaho. This profile covers 0 Medicare and 59 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Minidoka Memorial Hospital
Address	1224 8th St
City	Rupert
State	ID
ZIP	83350
Taxonomy	Critical Access Hospital
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicaid	$361K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1,250	$70	$86.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,010	$70	$74.7K
99281	The provider sees a patient for the lowest level emergency department visit.	660	$50	$34.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	3,830	$10	$30.6K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	410	$60	$24K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	3,610	$1	$14.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	160	$70	$10.9K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	520	$20	$9.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,070	$1	$8.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	610	$10	$6.7K

Showing 1–10 of 59

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

Claims Volume vs. Idaho Distribution

Minidoka Memorial Hospital — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	30	30	480	$220	$663.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	47	80	1,020	$90	$502.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	201	210	3,020	$50	$389K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	37	80	880	$70	$265.5K
A0425	Ground mileage, per statute mile	40	50	960	$40	$166.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	17	50	560	$60	$82.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	36	40	510	$30	$75.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	28	50	210	$80	$51.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	26	30	890	$20	$47.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	27	70	2,170	$10	$42.9K

Showing 1–10 of 59

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minidoka Memorial Hospital	ID	Rural Health Clinic/Center	$0	$2M
Jason Lance	UT	Diagnostic Radiology Physician	$251.9K	$2.9K
Robert Tonks	ID	Interventional Cardiology Physician	$173.2K	$0
Joseph Hymas	ID	Interventional Cardiology Physician	$154.2K	$0
Joseph Rosenblum	IN	Internal Medicine Physician	$137.1K	$0
Julianne Santarosa	TX	Surgery Physician	$134.3K	$0
Garth Greenwell	CA	Physical Medicine & Rehabilitation Physician	$130K	$0
Dennis Enomoto	ID	Cardiovascular Disease Physician	$124K	$0
Tyler Wayment	ID	Plastic Surgery Physician	$113.2K	$0
Tyler Roe	ID	Pain Medicine (Anesthesiology) Physician	$106.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Progressive Behavior Systems, PA	ID	Developmentally Disabled Services Day Training Agency	$0	$85.8M
Minidoka County School District #331	ID	Local Education Agency (LEA)	$0	$4.6M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$4.3M
Family Vision And Eye Care PA	ID	Optometrist	$0	$481.4K
Christine Pickup	ID	Audiologist	$4.2K	$0
Jared Keller	ID	Physician Assistant	$1.4K	$0

Minidoka Memorial Hospital — Billing Profile & Reimbursement Data

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Minidoka Memorial Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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